Comparison of the functional outcome of trochanteric fixation nail (TFN-180mm) versus short proximal femoral nail (short PFN 250mm) for fixation of intertrochanteric fractures

Introduction: Pertrochanteric fractures are devastating injuries that most commonly affect the elderly. There various forms of internal fixation devices used for Trochanteric Fractures; them, device is Dynamic Hip Screw with Side Plate assemblies. In unstable fracture patterns, intramedullary such as PFN appear to have a biomechanical advantage over extramedullary devices. Aim: To compare functional outcome Fixation Nail (TFN-180mm) versus short Proximal Femoral (short 250mm) intertrochanteric fractures. Material and Methods: A prospective study was conducted at Queen’s NRI Hospital, Visakhapatnam, Andhra Pradesh, India, on patients femur follow-up recorded in 6 weeks, three months, six months. Observations age, sex, affected side, post-Operative pain using Visual Analogue scale Functional assessed through Harris score complications were recorded. Results & Conclusion: total number 30 cases stable inter trochanteric treated closed/ open reduction TFN 15 each group. Our has female predominance 2:1. The mean age candidates 67.46 years, it 69.66 years average Score group 80.66 79.80. Indicating both same. Short associated more recurring complication anterior thigh pain, which seen predominantly females.